Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Micklo, DO

Individual provider Internal Medicine Physician · NPI 1619771508

Amanda Micklo, DO is an Internal Medicine Physician in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Phone: (847) 570-2700
Fax: (847) 570-2822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.085423 (IL)

Record details

NPI number1619771508
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 1, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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